Individual
TARA M OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8290
(651) 254-8299
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9697
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213244300
—
MN
Enumeration date
02/28/2006
Last updated
04/05/2021
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